Review: early supported discharge reduces death or dependence after stroke
Q In patients admitted to hospital with stroke, does an early supported discharge (ESD) service with rehabilitation at home provide better outcomes than conventional in-hospital care?
the Cochrane Specialised Register of Controlled Trials (to August 2004) was searched and trialists were asked to describe their intervention and control services and to provide individual patient data.
Study selection and assessment:
randomised controlled trials (RCTs) that compared an ESD intervention with conventional care in patients admitted to hospital with stroke. The aim of ESD was to accelerate discharge from hospital and provide rehabilitation and regular assistance in a community setting. Quality assessment of individual trials was based on allocation concealment and blinding of outcome assessors.
a composite endpoint of death or dependence (Barthel index <19/20 or Rankin score >2). Secondary outcomes were death; death or need for long term institutional care; change in activities of daily living (ADL), subjective health status, or mood or depression; patient satisfaction; caregiver outcomes (subjective …